Sunday, August 20, 2017

Terms of missed contraceptive pills

It was in my biography time when I taught a special course "Family Planning", about the methods of contraception: faithfully wrote lectures and seminars developed programs, guidelines drawn to three independent work and are very proud of. My mom, all my life teaches philosophy and others like it, provides technical protection. This experience was interesting. Sometimes it is a pity that this period of my life is over.

 Terms of missed contraceptive pills  I forgot to take a pill


I love public speaking, so that lectures are excitedly and enthusiastically. Students listened spellbound, still, after all contraception - it's interesting. And simple. And it is very clear! But my mother urged not to have illusions:
- Begin to take credit, you'll see.


My mother, as always, was right. Even the girls umnen'kiye never mastered the artless wisdom of protection. Advantages and disadvantages   Contraceptive   They mixed up in their heads in an unimaginable mess. Expose it was almost impossible.
There was a question - what to ask "to three"? It was the 2002 issue "at three" was nominated "rule missed pills." Looking ahead, I will say that over the years "Rule skipped pills" has acquired so many nuances and details that today for the correct answer should be to put a solid "five".


Then all oral contraceptives (COCs) in our market contained 21 active pill. Some had additional 7 inactive pills. Receive Mode "21 days to drink - 7 days off" was considered the only true and immutable.
Rule missed pills COCs, with 21 active pills in a pack

  • Skips inactive pills in packages of 21 7 can be ignored. However, the missed inactive tablets should be discarded to avoid accidentally extend the period of receiving the inactive pills.
  • Missing less than 12 hours: drink a pill as soon as you remember, even if you have to drink two pills in one day. The rest of the pills are taken at the usual time.
  • Missing more than 12 hours: drink the last of missed tablets as soon as you remember. Count how many pills left in the pack because of this tablet.

 Terms of missed contraceptive pills  Hormonal contraceptives

Then he appeared on the market "Jess" ("Dimia"), containing 24 active pills and receive mode 24 +4. The new regime has brought new rules.
Rule missed pills COC mode 24+ 4

  • Skipping inactive pills can be ignored. However, the missed inactive tablets should be discarded to avoid accidentally extend the period of receiving the inactive pills.
  • Missing less than 12 hours: drink a pill as soon as you remember, even if you have to drink two pills in one day. The rest of the pills are taken at the usual time.
  • Missing more than 12 hours: drink the last of missed tablets as soon as you remember. Take a good look, what kind of pill you missed:

 Terms of missed contraceptive pills  Rule missed pills

Notice how all the more complicated. Know this rule - is the answer to solid "four"!

In 2009, it was developed and brought to market a complex contraceptive "Klayra." Here and dynamic dosing regimen of the 26 + 2, and estradiol, identical to endogenous. Every day I say at the reception that "Klayra" - preparation for clever girls, do not miss a pill, the drug is very well thought out and balanced. I'm just sorry for almost 40 years of work of biochemists. But life is life, and passed Klayru.

Rule missed pill "Klayra" dynamically 26 +2

  • Skipping inactive (white) tablets can be ignored. However, the missed inactive (white) tablets should be discarded to make sure we do not extend the period of receiving the inactive pills.
  • Missing less than 12 hours: drink a pill as soon as you remember, even if you have to drink two pills in one day. The rest of the pills are taken at the usual time.
  • Missing more than 12 hours: drink the last of missed tablets as soon as you remember. Take a good look, what kind of pill you missed:

 Terms of missed contraceptive pills  Skip COC

The more tablets (particularly with the combination of two active ingredients on days 3 to 24 minutes) is omitted and the closer they are to the receiving phase inactive pills, the higher the chance of pregnancy. Agree, it is not just "five" and "excellent"!

Why do the wicked teacher forced to cram those stupid rules, if they are in each statement?
First, read the instructions not all taught by rote unit emits most of the trash. Special meanness is in the fact that when skipping pills, instruction rarely at hand.
Secondly, and in-chief, in 2002, the Internet was not as widespread as it is now. Today, even my husband asked how to roast potatoes with mushrooms is not my wife, and at Yandex.
Third, the vast expanses of the Internet you can find an endless number of nonsense. Why go far, http://mygynecologist.ru/content/yaz-dzhes-instruction: «If you missed 2-3 tablets Jess, they should take as soon as remembered about it. If you missed just two pills Jess, you take in a day 2 tablets, and the next day, too, the two tablets. Further prevent even 7 days after admission. If you have missed 3 tablets Jess, you also take them to 2 a day, is not "catch up" on account of the desired tablets. Simultaneous administration of 3 pills can lead to overdose symptoms (nausea, vomiting), but, in principle, is not dangerous. "
This recommendation will not do! No one "catch up" is not necessary. It is necessary to drink the last of the missing pills. The rest of the missed pills are ignored and remain in the package.


It is unacceptable to take more than 2 tablets a day! This does not increase the contraceptive efficacy, but will increase the risk of complications and spotting.


KOK - highly effective and safe method of contraception for a constant properly received. But! If you miss a pill, contraceptive protection is somewhat reduced, even when properly executed algorithm. In the absence of menstrual-like reaction is necessary to exclude pregnancy. Especially if the drug was not perfect.

Unfortunately, medical knowledge are not static. The latest news from the world of "missed pill": preparations for "Jess" ("Dimia") and "Jess Plus" permissible error in the reception doubled. Safe is considered to be late for 24 hours! Now forgotten pill should be taken no later than 48 hours from the last time you drink.


The new rule missed pills COC "Jess" ("Dimia") and "Jess Plus" mode 24+ 4

  • Skipping inactive pills can be ignored. However, the missed inactive tablets should be discarded to avoid accidentally extend the period of receiving the inactive pills.
  • Missing less than 24 hours: drink a pill as soon as you remember, even if you have to drink two pills in one day. The rest of the pills are taken at the usual time.
  • Missing more than 24 hours: drink the last of missed tablets as soon as you remember. Take a good look, what kind of pill you missed:

 Terms of missed contraceptive pills  Contraception



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